IndividualActive
Sidney Johnson, MD
NPI 1497757603 · Radiation Oncology Physician · Jackson, MS
Provider details
- NPI number
- 1497757603
- Entity type
- Individual
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 10704 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2969 Curran Dr N
Jackson, MS 39216-4121
Phone: (601) 200-3070
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4997
Jackson, MS 39296-4997
Additional practice locations (1)
- 2368 Grove StVicksburg, MS 39183-2857Phone: (601) 638-3005Fax: (601) 638-3227
Registry dates
- Enumerated
- 2005-06-01
- Last updated
- 2023-02-13
- Certified
- 2023-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.